Presentation
We report the characterization of two rare HEXB mutations present in genomic DNA from a single fibroblast cell line, GM203, taken from a patient with the infantile form of Sandhoff disease. [ncbi.nlm.nih.gov]
The handbook follows the text chapter by chapter, presenting key information on signs and symptoms, diagnostic tests, and neurologic disorders in an easy-to-scan numbered-list format. [books.google.com]
Arvinda First published August 1, 2011, DOI: A 1-year-old girl, whose parents were second cousins, presented with developmental delay and regression of milestones. She had macrocephaly, generalized hypotonia, brisk reflexes, and hepatosplenomegaly. [neurology.org]
Entire Body System
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Developmental Delay
Key words: GM2 gangliosidosis; Cherry red spot; Sandhoff disease; Developmental delay. Advertisement American Journal of Preventive Medicine and Public Health SUBMIT YOUR ARTICLE NOW [scopemed.org]
This case report is of a 13-month-old aboriginal Canadian boy who was referred for further investigations related to global developmental delay and loss of developmental milestones, at which time the diagnosis was discovered. [ajol.info]
Arvinda First published August 1, 2011, DOI: A 1-year-old girl, whose parents were second cousins, presented with developmental delay and regression of milestones. She had macrocephaly, generalized hypotonia, brisk reflexes, and hepatosplenomegaly. [neurology.org]
Initially many parents notice developmental delays but pediatricians often dismiss these concerns by stating "every baby develops differently" and "the baby will catch up". Often at about 10-14 months of age, children may start to exhibit trouble tracking [ntsad.org]
Google Scholar Crossref Medline Filippi CG, Ulug AM, Deck MD, et al: Developmental delay in children: Assessment with proton MR spectroscopy. AJNR Am J Neuroradiol 2002 ;23: 882 — 888. Google Scholar Medline ISI [doi.org]
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Dysostosis
Enzyme analysis showed deficient total hexosaminidase (A B) enzyme in plasma ( 1 Progressive systemic accumulation of sphingolipids leads to macrocephaly, cherry-red spots in the eye, skeletal dysostosis and organomegaly. 2 It is unusual to see microcephaly [casereports.bmj.com]
Three clinical sub-types of GM1 gangliosidosis are recognized, classified by age of onset, as follows: Infantile (type 1) : In the most common infantile form, coarse facial features, hepatosplenomegaly, generalized skeletal dysplasia (dysostosis multiplex [centogene.com]
193530 E VC2 4p16.2 Ellis-van Creveld syndrome 225500 Weyers acrofacial dysostosis 193530 F8 Xq28 Hemophilia A 306700 F9 Xq27.1 Hemophilia B 306900 Thrombophilia, X-linked, due to factor IX defect 300807 Deep venous thrombosis, protection against 300807 [institutobernabeu.com]
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Malnutrition
In the absence of familial small head size or significant malnutrition, it is intriguing to see microcephaly in association with Sandhoff's disease. [casereports.bmj.com]
Gastrointestinal
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Regurgitation
Besides the classical neurological features, this patient exhibited severe mitral regurgitation secondary to mitral valve prolapse and mild aortic regurgitation from aortic valve prolapse. [ncbi.nlm.nih.gov]
Cardiovascular
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Mitral Valve Prolapse
Besides the classical neurological features, this patient exhibited severe mitral regurgitation secondary to mitral valve prolapse and mild aortic regurgitation from aortic valve prolapse. [ncbi.nlm.nih.gov]
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Cardiomegaly
We describe a 14-month-old female baby who exhibited mitral regurgitation and cardiomegaly at the age of 2months, dilation of the left atrium and left ventricle at age of 6months, followed by regression of developmental milestones after an episode of [ncbi.nlm.nih.gov]
Skin
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Erythema
Batten disease バッテン病 Frederick Eustace Batten(1865-1918) English neurologist and pediatrician Battle バトル Battle's sign バトル徴候 William HenryBattle (1856-1936) English surgeon Bauhin バウヒン Bauhin's valve バウヒン弁 Bayes ベイズ Bayes theorem ベイズの定理 Bazin バザン Bazin's erythema [jams.med.or.jp]
Musculoskeletal
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Small Head
In the absence of familial small head size or significant malnutrition, it is intriguing to see microcephaly in association with Sandhoff's disease. [casereports.bmj.com]
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Muscle Hypotonia
At 6 to 10 months limp and floppy muscles (hypotonia). decreased alertness and playfulness. difficulty sitting up or rolling over loss of motor skills. decreased hearing and eventual deafness. gradual loss of vision. an abnormal increase in head size [radiopaedia.org]
Ears
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Hyperacusis
He also had hyperacusis, bilateral cherry-red spot, generalised hypotonia, brisk muscle stretch reflexes, bilateral Babinski’s sign and no organomegaly. [casereports.bmj.com]
Hyperacusis (ie, persistent extension response to sound, startle reaction) can aid in early diagnosis. After age 8-10 months, deterioration is rapid as neurodegeneration progresses. [emedicine.medscape.com]
Eyes
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Prolapse
Besides the classical neurological features, this patient exhibited severe mitral regurgitation secondary to mitral valve prolapse and mild aortic regurgitation from aortic valve prolapse. [ncbi.nlm.nih.gov]
Neurologic
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Babinski Sign
He also had hyperacusis, bilateral cherry-red spot, generalised hypotonia, brisk muscle stretch reflexes, bilateral Babinski’s sign and no organomegaly. [casereports.bmj.com]
Firm stroking of the sole of the foot produces a typical reflex response (Babinski sign), and the outer toes spread after the side of the sole of the foot has been stroked. [rarediseases.org]
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Convulsions
Abstract We report a rare case of inherited metabolic disease wherein one and half year old girl child born to a consanguinously married couple, presented to emergency ward with a history of one episode of generalized tonic clonic convulsion lasting for [scopemed.org]
She had regression of her milestones and generalized convulsions; her ophthalmological examination also revealed “cherry red spots.” She died at 17 months of age. His three other sisters were well. [neurologyindia.com]
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Generalized Tonic-Clonic Seizure
A fourteen-year-old girl presented to our department with a history of two episodes of generalized tonic clonic seizures in the last 3 months. She was born to a nonconsanguineous parents in a hospital. [indianpediatrics.net]
Workup
Workup and physical examination Both homozygotes and heterozygotes have a reduced concentration of sphingomyelin in their RBCs. Affected individuals have deficient Hex A activity and normal levels of the Hex B isozyme. [emedicine.medscape.com]
Treatment
He is also director of the Human Gene Therapy Applications Laboratory, the Center for the Study and Treatment of Jewish Genetic Diseases, and the Comprehensive Gaucher Disease Treatment Center. [books.google.com]
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Currently, there is no curative treatment, with therapy remaining primarily supportive. [ajol.info]
Prognosis
(Outcomes/Resolutions) Sandhoff Disease is associated with a poor prognosis. [dovemed.com]
The prognosis for individuals with Sandhoff disease is poor. In the Infantile form, affected children usually do not survive past the age of 3 and death is generally caused by respiratory infections. [disabled-world.com]
Features of the Disorder Developmental delay (motor and speech skills) Intellectual disabilities Weak muscle tone Difficulty with coordinated movement (e.g. ataxia) Seizures Vision loss Eye abnormalities (e.g. cherry-red spot) Hearing difficulty Paralysis PROGNOSIS [evolvegene.com]
Last updated: 7/30/2017 The prognosis for individuals with Sandhoff disease is poor. [rarediseases.info.nih.gov]
Etiology
(Etiology) Sandhoff Disease is caused by the deficiency of 2 enzymes, which include: β-hexosaminidase A and β-hexosaminidase B The deficiency of these enzymes is due to an abnormal (mutated) gene called HEXB. [dovemed.com]
An etiologic study(5) of children with mental retardation showed that 14.5% of these cases were attributable to neurolipidosis. Juvenile Sandhoff disease is rare(1), but there have been several case reports of this illness(6,8). [indianpediatrics.net]
Epidemiology
Consequently, the frequency of known diagnoses in our study was not directly comparable with similarly designed epidemiological studies. [bmcpediatr.biomedcentral.com]
Pathophysiology
Molecular pathophysiology in Tay-Sachs and Sandhoff diseases as revealed by gene expression profiling. Hum Mol Genet. 2002 May 15;11(11):1343-50. Neufeld EF. Natural history and inherited disorders of a lysosomal enzyme, beta-hexosaminidase. [disorders.eyes.arizona.edu]
The adult form of the disease, however, is sometimes milder, and may only lead to muscle weakness that impairs walking or the ability to get out of bed. [ 17 ] Pathophysiology Sandhoff disease has an autosomal recessive pattern of inheritance. [dictionnaire.sensagent.leparisien.fr]
The adult form of the disease, however, is sometimes milder, and may only lead to muscle weakness that impairs walking or the ability to get out of bed. [18] Pathophysiology Sandhoff disease has an autosomal recessive pattern of inheritance. [ipfs.io]
Pathophysiology [ edit ] Biallelic pathogenic variants in the HEXB gene cause Sandhoff disease. [en.wikipedia.org]
Prevention
Advertisement American Journal of Preventive Medicine and Public Health SUBMIT YOUR ARTICLE NOW [scopemed.org]
However, a significant drug concentration in CSF as well as macrocephaly prevention were observed. [ncbi.nlm.nih.gov]
Is chronic lung disease in low birth weight infants preventable? A survey of eight centers. Página 84 - Tanner JM, Whitehouse RH, Marubini E, Resele LF. The adolescent growth spurt of boys and girls of the Harpenden growth study. [books.google.es]
Mutations in the gene prevent the breakdown of these GM2 gamgliosides, resulting in their build-up in the CNS. [cags.org.ae]